{"id":"https://openalex.org/W7147241925","doi":"https://doi.org/10.1186/s12904-026-02076-2","title":"Building a presence: implementation strategies used to expand palliative care services across six diverse health systems in a longitudinal mixed methods study","display_name":"Building a presence: implementation strategies used to expand palliative care services across six diverse health systems in a longitudinal mixed methods study","publication_year":2026,"publication_date":"2026-04-01","ids":{"openalex":"https://openalex.org/W7147241925","doi":"https://doi.org/10.1186/s12904-026-02076-2","pmid":"https://pubmed.ncbi.nlm.nih.gov/41923249","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13169856"},"language":"en","primary_location":{"id":"doi:10.1186/s12904-026-02076-2","doi":"https://doi.org/10.1186/s12904-026-02076-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12904-026-02076-2","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12904-026-02076-2.pdf","source":{"id":"https://openalex.org/S169992948","display_name":"BMC Palliative Care","issn_l":"1472-684X","issn":["1472-684X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliative Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://link.springer.com/content/pdf/10.1186/s12904-026-02076-2.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039521057","display_name":"Heather Z. Mui","orcid":"https://orcid.org/0000-0002-2499-3583","observed_orcids":["https://orcid.org/0000-0002-2499-3583"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Heather Z. Mui","raw_affiliation_strings":["Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA. heather.z.mui@stanford.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA. heather.z.mui@stanford.edu","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090558964","display_name":"Laura M. Holdsworth","orcid":"https://orcid.org/0000-0003-0611-2700","observed_orcids":["https://orcid.org/0000-0003-0611-2700"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura M. Holdsworth","raw_affiliation_strings":["Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056915578","display_name":"Karl Lorenz","orcid":"https://orcid.org/0000-0002-2468-2566","observed_orcids":["https://orcid.org/0000-0002-2468-2566"]},"institutions":[{"id":"https://openalex.org/I204866599","display_name":"VA Palo Alto Health Care System","ror":"https://ror.org/00nr17z89","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I204866599","https://openalex.org/I2799886695","https://openalex.org/I4210125474"]},{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karl A. Lorenz","raw_affiliation_strings":["Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA","Veterans Affairs Palo Alto Health Care System, Center for Innovation to Implementation, Palo Alto, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"raw_affiliation_string":"Veterans Affairs Palo Alto Health Care System, Center for Innovation to Implementation, Palo Alto, CA, USA","institution_ids":["https://openalex.org/I204866599"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028131202","display_name":"Marcy Winget","orcid":"https://orcid.org/0000-0002-5893-280X","observed_orcids":["https://orcid.org/0000-0002-5893-280X"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marcy Winget","raw_affiliation_strings":["Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, 3180 Porter Drive, Palo Alto, CA, 94304, USA","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5039521057"],"corresponding_institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"],"apc_list":{"value":2990,"currency":"USD","value_usd":2990},"apc_paid":{"value":2990,"currency":"USD","value_usd":2990},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.18561743,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.5648999810218811,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.5648999810218811,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.42410001158714294,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.7749999761581421},{"id":"https://openalex.org/keywords/implementation-strategies","display_name":"implementation strategies","score":0.8970000147819519},{"id":"https://openalex.org/keywords/health-care-system","display_name":"health care system","score":0.7039999961853027},{"id":"https://openalex.org/keywords/organizational-leadership","display_name":"organizational leadership","score":0.6830000281333923},{"id":"https://openalex.org/keywords/executive-sponsorship","display_name":"executive sponsorship","score":0.9190000295639038},{"id":"https://openalex.org/keywords/provider-engagement","display_name":"provider engagement","score":0.5730000138282776},{"id":"https://openalex.org/keywords/stakeholder-education","display_name":"stakeholder education","score":0.49900001287460327},{"id":"https://openalex.org/keywords/financial-support","display_name":"financial support","score":0.3840000033378601},{"id":"https://openalex.org/keywords/sustainability","display_name":"sustainability","score":0.6729999780654907},{"id":"https://openalex.org/keywords/reach-regulation","display_name":"REACH regulation","score":0.4569999873638153}],"concepts":[{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.7208999991416931},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5638999938964844},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.49300000071525574},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.49140000343322754},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4083999991416931},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.37450000643730164},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3546000123023987},{"id":"https://openalex.org/C2991975920","wikidata":"https://www.wikidata.org/wiki/Q621261","display_name":"Pain medicine","level":3,"score":0.3517000079154968},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.32429999113082886},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.3174000084400177},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.31029999256134033},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.30640000104904175},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.28060001134872437},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.27889999747276306},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.2759000062942505},{"id":"https://openalex.org/C156393514","wikidata":"https://www.wikidata.org/wiki/Q6934800","display_name":"Multimethodology","level":2,"score":0.2599000036716461},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2529999911785126},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.2524999976158142}],"mesh":[{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12904-026-02076-2","doi":"https://doi.org/10.1186/s12904-026-02076-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12904-026-02076-2","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12904-026-02076-2.pdf","source":{"id":"https://openalex.org/S169992948","display_name":"BMC Palliative Care","issn_l":"1472-684X","issn":["1472-684X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliative Care","raw_type":"journal-article"},{"id":"pmid:41923249","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41923249","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC palliative care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13169856","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41923249/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliat Care","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:c2f1685737014b75b1e6c668367234cf","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/c2f1685737014b75b1e6c668367234cf","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Palliative Care, Vol 25, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12904-026-02076-2","doi":"https://doi.org/10.1186/s12904-026-02076-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12904-026-02076-2","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12904-026-02076-2.pdf","source":{"id":"https://openalex.org/S169992948","display_name":"BMC Palliative Care","issn_l":"1472-684X","issn":["1472-684X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliative Care","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320317986","display_name":"Stupski Foundation","ror":"https://ror.org/02ap3s657"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7147241925.pdf","grobid_xml":"https://content.openalex.org/works/W7147241925.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W1713817669","https://openalex.org/W2010049072","https://openalex.org/W2067404301","https://openalex.org/W2121795537","https://openalex.org/W2126340581","https://openalex.org/W2140092196","https://openalex.org/W2149863645","https://openalex.org/W2170754611","https://openalex.org/W2187153308","https://openalex.org/W2284386481","https://openalex.org/W2801768005","https://openalex.org/W2924329130","https://openalex.org/W2954925915","https://openalex.org/W2976336448","https://openalex.org/W2977905239","https://openalex.org/W3012754125","https://openalex.org/W3021916629","https://openalex.org/W3154606826","https://openalex.org/W3162524102","https://openalex.org/W4225814359","https://openalex.org/W4307492636","https://openalex.org/W4308111117","https://openalex.org/W4318020604","https://openalex.org/W4383615298","https://openalex.org/W4388021132","https://openalex.org/W4403032174"],"related_works":["https://openalex.org/W7161061323","https://openalex.org/W7161047336","https://openalex.org/W1713817669","https://openalex.org/W7160992093","https://openalex.org/W7171390362","https://openalex.org/W3003483296","https://openalex.org/W3128154181","https://openalex.org/W3041364058","https://openalex.org/W4401031157","https://openalex.org/W3093491658"],"abstract_inverted_index":{"BACKGROUND:":[0],"Despite":[1],"the":[2,30,43,54,70,114,137,153,286,314,329],"need":[3],"to":[4,7,48,64,94,122,284,293,311,335,344],"increase":[5,294],"access":[6],"palliative":[8,21,66,175,271],"care":[9,22,67,176,272,332],"for":[10,20,42,117,173,234,246,269,303],"aging":[11],"populations,":[12],"there":[13],"is":[14,38],"limited":[15],"research":[16],"on":[17,275,340],"effective":[18],"strategies":[19,27,56,73,126,140,157,172,268,322,343],"service":[23,221],"implementation.":[24],"Identifying":[25],"implementation":[26,55,75,96,171,321],"that":[28,202],"support":[29,310],"integration":[31],"of":[32,46,136,152],"services":[33,273,337],"in":[34,325],"different":[35,320,326],"clinical":[36,215],"settings":[37],"a":[39,102,133,209,277,281],"necessary":[40],"step":[41],"efficient":[44],"deployment":[45],"resources":[47],"improve":[49],"outcomes.":[50],"This":[51,316],"study":[52,84,317],"explores":[53],"used":[57,166,324],"by":[58,279],"six":[59,179],"diverse":[60],"California":[61],"health":[62],"systems":[63],"expand":[65,336],"services,":[68],"and":[69,74,77,91,97,110,124,141,146,169,185,193,195,207,224,227,242,249,251,258,264,290,295,298,305,307,328,347],"relationship":[71,138,240],"between":[72,139,167],"outcomes":[76],"reach.":[78],"METHODS:":[79],"A":[80,106],"longitudinal":[81],"mixed":[82],"methods":[83],"utilizing":[85],"document":[86],"review,":[87],"key":[88],"informant":[89],"interviews,":[90],"program":[92],"data":[93],"assess":[95],"effectiveness":[98],"was":[99,129,232,244],"conducted":[100],"using":[101,113],"convergent":[103],"parallel":[104],"design.":[105],"deductive":[107],"content":[108],"analysis":[109,112,135],"matrix":[111],"Expert":[115],"Recommendations":[116],"Implementing":[118],"Change":[119],"(ERIC)":[120],"framework":[121],"identify":[123],"compare":[125],"across":[127],"sites":[128,180],"completed,":[130],"along":[131],"with":[132,217],"thematic":[134],"reach,":[142],"feasibility,":[143],"acceptability,":[144,247],"adoption,":[145,299],"sustainability.":[147,265],"RESULTS:":[148],"In":[149],"total,":[150],"33":[151],"73":[154],"discrete":[155],"ERIC":[156],"were":[158,323],"identified,":[159],"spanning":[160],"all":[161],"nine":[162],"strategy":[163],"domains.":[164],"Sites":[165],"11":[168],"23":[170],"expanding":[174,270],"programs.":[177],"All":[178],"utilized":[181],"financial":[182,309],"strategies,":[183,187],"evaluative":[184],"iterative":[186],"supported":[188,203],"clinicians,":[189],"developed":[190],"stakeholder":[191],"interrelationships,":[192],"trained":[194,210,282],"educated":[196],"stakeholders.":[197],"We":[198],"identified":[199],"four":[200],"themes":[201],"outcomes:":[204],"(1)":[205],"establishing":[206,280],"sustaining":[208],"workforce,":[211],"particularly":[212],"creating":[213],"new":[214],"teams":[216],"physician":[218],"leadership":[219,302],"made":[220],"provision":[222],"feasible":[223],"fostered":[225],"acceptance":[226],"adoption;":[228],"(2)":[229],"identifying":[230,288],"cases":[231,289],"important":[233],"referrals;":[235],"(3)":[236],"engaging":[237,291],"providers":[238,292],"through":[239],"development":[241],"education":[243],"crucial":[245],"adoption":[248],"sustainability;":[250],"(4)":[252],"involving":[253,300],"organizational":[254,301],"leadership,":[255],"specifically":[256],"active":[257],"enduring":[259],"executive":[260],"sponsorship,":[261],"aided":[262],"feasibility":[263,304],"CONCLUSIONS:":[266],"Implementation":[267],"focused":[274],"building":[276],"presence":[278],"workforce":[283],"provide":[285],"service,":[287],"sustain":[296],"acceptability":[297],"sustainment,":[306],"securing":[308],"feasibly":[312],"launch":[313],"service.":[315],"compares":[318],"how":[319],"settings,":[327],"impact.":[330],"Palliative":[331],"programs":[333],"looking":[334],"should":[338],"focus":[339],"these":[341],"core":[342],"maximize":[345],"efforts,":[346],"reach":[348],"more":[349],"patients.":[350]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-04-02T00:00:00"}